OrganizationActive
At Provider Group of California PC
NPI 1700580305 · Substance Use Disorder Rehabilitation Clinic/Center · Sacramento, CA
Provider details
- NPI number
- 1700580305
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Renee Mullings, Director of Compliance(951) 691-9101
Specialties & taxonomies
Ambulatory Health Care Facilities
- Adult Mental Health Clinic/Center261QM0850X
Ambulatory Health Care Facilities
- Substance Abuse Rehabilitation Facility324500000X
Residential Treatment Facilities
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3550 Watt Ave Ste 140
Sacramento, CA 95821-2666
Phone: (845) 769-8758
Street-level locationGet directions
Mailing address
3550 Watt Ave Ste 140
Sacramento, CA 95821-2666
Registry dates
- Enumerated
- 2023-03-28
- Last updated
- 2023-03-28
- Certified
- 2023-03-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.